Magnetic resonance imaging visualization of hemorrhage into a suprapatellar pouch in a child with hemophilia.

R Nuss, R Kilcoyne, S Geraghty, R Wilkins, J Wiedel, M Manco-Johnson
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Abstract

Purpose: Magnetic resonance imaging (MRI) was used for evaluation of refractory joint swelling in a 7-year-old boy with hemophilia.

Patient and methods: This patient with no evidence of an inhibitory had refractory left knee swelling despite receiving appropriate factor VIII concentrate infusions.

Results: A plain radiograph showed soft tissue swelling and a calcification in the left suprapatellar region. On MRI a discrete suprapatellar pouch could be detected and was subsequently surgically resected.

Conclusion: We believe that MRI should be considered when evaluating children with hemophilia who have refractory joint swelling and no evidence of an inhibitor.

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血友病患儿髌上囊出血的磁共振成像显示。
目的:应用磁共振成像(MRI)评价7岁男童血友病难治性关节肿胀。患者和方法:尽管接受了适当的VIII浓缩因子输注,但该患者没有抑制性证据,仍有难治性左膝肿胀。结果:平片显示左侧髌上区软组织肿胀和钙化。在MRI上可以发现一个分离的髌上袋,随后手术切除。结论:我们认为,在评估患有难治性关节肿胀且无抑制剂证据的血友病儿童时,应考虑MRI。
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